{
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"FirstLineMailingAddress": "505 BROADWAY ST",
"SecondLineMailingAddress": "372",
"MailingAddressCityName": "BARABOO",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53913-2183",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "608-355-3290",
"MailingAddressFaxNumber": "608-355-4329",
"FirstLinePracticeLocationAddress": "505 BROADWAY ST",
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"PracticeLocationAddressFaxNumber": "608-355-4329",
"EnumerationDate": "03/13/2007",
"LastUpdateDate": "02/10/2012",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BODENDEIN",
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"AuthorizedOfficialTelephoneNumber": "608-355-3290",
"Taxonomies": {
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"TaxonomyName": "Public Health or Welfare Agency",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}